Community-based management of epistaxis: Who bloody knows?

Smith, Jenna; Hanson, Jennifer; Chowdhury, Raiyan; Bungard, Tammy J.

doi:10.1177/1715163519840380

Cited by 8 publications

(4 citation statements)

References 60 publications

(101 reference statements)

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“…Although no control group was used for comparison, Massick et al found that 93% of anticoagulated patients experienced cessation of their epistaxis at three months with use of nasal saline gel. 5,6 Despite these findings, no research has been dedicated to evaluating the prevention of epistaxis in patients with VAD. Nasal hygiene measures are simple to use and cheap for patients in preventing epistaxis.…”

Section: Discussionmentioning

confidence: 99%

Costs Associated with Recurrent Epistaxis in a Patient with a Ventricular Assist Device

2020

GMERJ

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Mucosal bleeding is a well-known complication of having a ventricular assist device and commonly presents with epistaxis. Although the frequency of epistaxis as a complication in patients with a ventricular assist device has been documented in the literature, to our knowledge the cost of this complication has not been reported. This case report examines the financial burden of ventricular assist device-associated epistaxis in a single patient from September 2018 to December 2019 using ICD 10 diagnostic codes. The patient was found to have accumulated $138,020 in costs over 38 encounters. This case report not only highlights the recurrent nature and potential high cost of epistaxis in this patient population, but also identifies a target to reduce healthcare spending. Further research is needed to assess whether cheap and simple preventative measures such as nasal hygiene regimen can decrease the frequency and/or severity of epistaxis in the patients with a ventricular assist device.

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Section: Discussionmentioning

confidence: 99%

Costs Associated with Recurrent Epistaxis in a Patient with a Ventricular Assist Device

2020

GMERJ

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“…1 Most cases are self-limiting and managed in the community, with only 10 per cent requiring emergency care. 2 Therefore, a robust understanding of first-aid management is required for patients, community healthcare staff and emergency physicians. However, research has shown that many healthcare providers and patients cannot identify the correct first-aid steps for managing acute epistaxis.…”

Section: Introductionmentioning

confidence: 99%

‘How to stop a nosebleed’: a combined objective and subjective assessment of YouTube videos on first-aid management of epistaxis

et al. 2023

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Objective A previous study in 2016 found that the quality of YouTube videos on epistaxis first-aid management was highly variable. This study aimed to reassess the accuracy and patient understandability of such YouTube videos. Method YouTube was searched using the phrase ‘How to stop a nosebleed’. The highest 50 ranking videos, based on relevance, were screened. Each video was assessed objectively using a standardised ‘advice score’, and subjectively using a video understandability and actionability checklist, the Patient Education Materials Assessment Tool for Audiovisual Materials (‘PEMAT-A/V’). Results The mean advice score was 4.1 out of 8. The mean (standard deviation) understandability and actionability scores were 76 per cent (17 per cent) and 89 per cent (18 per cent), respectively. There was a strong positive correlation between the actionability scores and the advice scores (ρ = 0.634; p < 0.001), and between the actionability scores and the understandability scores (ρ = 0.519; p = 0.002). Conclusion YouTube videos are providing increasingly relevant advice for patients seeking healthcare information. YouTube is proposed as a useful medium for teaching epistaxis management to patients and community practitioners.

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“…Basic first-aid measures for epistaxis should be known by all those working in the ED and those involved in community-based care [ 3 ]. In short, sitting the patient up and tilting the head forward can protect the airway and pinching the nasal ala against the septum for 10 to 15 min applies pressure to Kiesselbach’s plexus, the source of bleeding in 95% of cases [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Epistaxis first-aid management: A needs assessment among healthcare providers

Sowerby

Rajakumar

Davis

et al. 2021

Journal of Otolaryngology - Head & Neck Surgery

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Purpose To perform a needs assessment of epistaxis first-aid measures practiced by family physicians and Emergency Department (ED) staff in London, Ontario, Canada. Methods Paper-based multiple-choice questionnaires were distributed to participants. Participant recruitment was conducted in two parts: 1) 28 Emergency Medicine (EM) attending physicians, 21 resident physicians training in the ED, and 26 ED nurses were surveyed while on duty in the ED; 2) 27 family physicians providing walk-in or urgent care and attending a continuing medical education (CME) event were also surveyed. Respondents were asked to identify where to apply compression to the nose and how patients should be positioned during acute epistaxis. Results Regarding where to apply compression, 19% of family physicians, 43% of EM physicians, 24% of residents, and 8% of ED nurses responded correctly. Regarding positioning, all groups responded similarly with 54–62% responding correctly. Twenty-one percent of emergency physicians, 19% of residents, 11% of family physicians, and 4% of nurses responded correctly to both questions. Conclusions Most family physicians, EM attending physicians, ED nurses, and residents could not correctly identify basic first-aid measures for acute epistaxis. This study identifies an area where knowledge is lacking and the potential for improvement in patient management and education. Grapical Abstract

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Community-based management of epistaxis: Who bloody knows?

Cited by 8 publications

References 60 publications

Costs Associated with Recurrent Epistaxis in a Patient with a Ventricular Assist Device

Costs Associated with Recurrent Epistaxis in a Patient with a Ventricular Assist Device

‘How to stop a nosebleed’: a combined objective and subjective assessment of YouTube videos on first-aid management of epistaxis

Epistaxis first-aid management: A needs assessment among healthcare providers

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